HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I
•
- RECEIVED
Building Permit Application 9.1018
Planning and Development Services permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PER IT APPLICATION FOR: Roof
ACANNED
E
PROPOSED IM!PROVEMENT,LOCATION:
3V
Address:
100 Riverview Dr. Port Saint Lucie, ®IUfEt�
I
Legal Description: TOP OF WALTON LOT 6 AND E 41.33 FTOF LOT 7 (OR 3185-2801 THRU 2809)
Property Tax ID #: 950` — 60) - 0b06 - 000 `(0
Site Plan Name:
Project Name:
I
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION CIF WORK:
Roof Replaciment kmovir5 Shlw3le replcioliq w14h vi4ejaI
5-V Cr;tnn f — #170Z2. I
00L 25_ ILI-060S.19
Lot No.
Block No.
'CON STRUCTTION-INFORM,PAfibN-
Additional work to e nertormed under this permit— check all apply:
gHVAC 0 Gas Tank Gas Piping _ Shutters Windows/Doors
�IElectric 0 Plumbing Sprinklers 11 Generator Roof Y I Z- Roof pitch
Total Sq. Ft of Construction: 2100 S . Ft. of First Floor:
Cost of Construction: $ 11500 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:`°
n
CONTRACTOR:
Name'Glenn DeCarlo
Name: Dee Keihn
Company: PDKRoofing.inc
AddrelSS' 100 Riverview
City: Jensen Beach State:
Address: 626 Sw Everett Ct.
Zip Code: 34957 fax:
City: Port Saint Lucie State: FL
Phone No.772-349-2550
E-Mail: Nriverdr@aol.com
Zip Code: 34953 Fax:
Phone No. 772-528-0113
Fill in fee simple Title Holder on next page (if different
E-Mail: pdkroofing.inc@gmail.com
State or County License: CCC1331408
i
from the Owner listed above)
If value of construction is $2500 or more- a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN' LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City State: City: State:
Zip:! Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name:
Address:
City,
Zip:' Phone:
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor�the first inspection. If u intend to obtain financing, c ult wit
fnh lender or an t orney be re
comeNcinR work or�cor )rur Notice of Commencem
ignature of Owner/ essee/Contracto gent for Owner I S gnature of Contract/License Holder
STATE OF FLOFEID STATE OF FLORIDA J
COUNTY OF COUNTY OF
The forgoing instru ent was acknowledged before me
this � day of �C� , 2d by
—I - kls�t�
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Soiaturiyof Notary Public- State 4Florida )
Commission No. 1111 �eakt�SHAHNA INGRAM
Notary Public -State of Florio
•= My Comm. Expires Dec 20, 20
The forgoing instru t as acknowledged before me
this day of rl, 20N by
O.r Al -VA V_%.�
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signa'bde of -Notary Public- State of PVrida )
— LASHAHNAINGRAM
Notary Public - State of Florida
REVIEWS FRO 20,N11ttloed thr u5UPERVI'S'iORA, sn.'pLANS VE ET/X'f•(C� BEa6e4tlTr6li�hTj) E DTI NP' COVE
COUNTER REVIEW REVIEW REVIEW I R tE -.:-rR -W
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17